For chronic joint pain that persists despite good joint mechanics, selectively interrupting the small sensory nerves to the joint can relieve pain while preserving movement.
Nerves targeted
Motion
Approach
Some joints keep hurting even when the joint itself is mechanically sound — the pain is carried by small sensory nerves supplying the joint capsule. Joint de-innervation selectively interrupts those specific nerves, removing the pain signal while leaving movement and strength intact.
The approach is especially useful in the wrist and other small joints, and is confirmed in advance with diagnostic nerve blocks so the result is predictable.
Chronic joint pain confirmed to be carried by specific sensory nerves.
When fusion or replacement is undesirable and movement should be kept.
Patients whose pain resolves with a diagnostic nerve block.
A targeted block confirms which sensory nerves carry the pain.
The specific articular branches to interrupt are mapped.
Those sensory branches are selectively divided, sparing motor function.
Motion is preserved; pain relief develops as healing proceeds.
Peripheral nerve surgery is its own discipline. Dr. Michaeli has dedicated his practice to the nerves, with fellowship-level training and thousands of nerve procedures.
Nerve work is measured in millimeters. Every repair is performed under high-magnification with microsurgical instruments and the latest reconstructive techniques.
Many patients arrive having been told nothing more can be done. A dedicated nerve evaluation often reveals options that general specialists do not offer.
The small incision heals; early motion is encouraged.
Joint pain settles while movement is maintained.
Patients return to activities with reduced pain.
Peripheral Nerve & Brachial Plexus Surgeon · New Jersey & New York
Dr. Michaeli is among the most experienced and trusted peripheral nerve specialists on the East Coast, combining board-certified hand surgery expertise with dedicated peripheral nerve training. He has helped patients across the region regain function when they were told nothing more could be done.
Most peripheral nerve procedures are medically necessary and covered by insurance. Our team will help you understand your benefits and assemble the documentation your plan requires.
How interrupting a joint’s pain nerves can relieve pain while preserving motion.
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Schedule a consultation with Dr. Michaeli to understand your options and build a plan that fits your life.
